<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN" "http://www.w3.org/TR/html4/strict.dtd">
<%@page isELIgnored="false" %>
<%@taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core"%>
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
    <title>Connect user</title>
    <style type="text/css"><!--
body{font-family:sans-serif; text-align:center;}
div.container{width:520px; text-align:left;}
div.entry {
    clear:both;
}
label {
    width:187px;
    float:left;
    text-align:right;
    padding-top:2px;
    margin-bottom:13px;
    margin-right: 6px;
}
    --></style>
</head>
<body><center>
<div class="container">

    <p>Enter a username that you want to connect to an external PHR / EHR system. For this demo purpose, you can enter any unique string as a username for a "ringful-demo" app.</p>

    <form action="/demo/add" method="post">
        <div class="entry">
            <label>Username</label>
            <input type="text" name="username" value=""/>
        </div>
        <div class="entry">
            <label>Connect to</label>
            <select name="connect">
                <option value="google" selected="selected">Google Health</option>
                <option value="healthvault">MS Health Vault</option>
                <option value="mayo">Mayo Clinic</option>
                <option value="1health">1 Health Network</option>
                <option value="acme">ACME Diagnostic Lab</option>
            </select>
        </div>
        <div class="entry">
            <label> </label>
            <input type="submit" value="Connect"/>
        </div>
    </form>
    
</div>
</center></body>
</html>
